• NR 509 Midterm 09/05/2026
Exam
NR 509 Midterm Exam 1 – (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
Phil comes to your office with left "shoulder pain." You find that the pain is markedly worse when his left arm is
drawn across his chest (adduction). Which of the following would you suspect?
A) Rotator cuff tear
B) Subacromial bursitis
C) Acromioclavicular joint involvement
D) Adhesive capsulitis –
Correct Answer :C) Acromioclavicular joint involvement
Adduction of the patient's arm across his chest can cause pain if the
P 1
, • NR 509 Midterm 09/05/2026
Exam
acromioclavicular joint is involved. In adhesive capsulitis, this maneuver may not be possible
due to limited range of motion. Subacromial bursitis would present with tenderness inferior to
the acromion. Rotator cuff injury would ordinarily not be associated with pain during this
maneuver.
Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She presents with elbow pain
worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms
face the floor. What condition does she have?
A) Medial epicondylitis (golfer's elbow)
B) Olecranon bursitis
C) Lateral epicondylitis (tennis elbow)
D) Supracondylar fracture –
Correct Answer :C) Lateral epicondylitis (tennis elbow)
Mary's injury probably occurred by lifting heavy buckets with her palms down
(toward the bucket). This caused her chronic overuse injury at the lateral epicondyle. Medial
epicondylitis has reproducible pain when palmar flexion against resistance is performed and also
features tenderness over the involved epicondyle. Olecranon bursitis produces erythema and swelling over the
olecranon process. A supracondylar fracture of the humerus is a major injury
and would present more acutely.
A high school football player injured his wrist in a game. He is tender between the two
tendons at the base of the thumb. Which of the following should be considered?
A) DeQuervain's tenosynovitis
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, • NR 509 Midterm 09/05/2026
Exam
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis –
Correct Answer :B) Scaphoid fracture
The "anatomic snuffbox" is found between the extensor and abductor tendons at the base of the thumb.
Tenderness should make one think of a scaphoid fracture. Not only is this the most common carpal bone injury,
but the poor blood supply puts the bone at risk for
avascular necrosis when injured. This fracture is commonly missed on x-ray, so this is an important physical
finding to support further or repeated studies.
Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the
volar aspect of the web of the thumb and index finger and the pulp of the middle finger are
normal. The pulp of the index finger has decreased sensation. Which of the following is
affected?
A) Median nerve
B) Ulnar nerve
C) Radial nerve –
Correct Answer :A) Median nerve
The pulp of the index finger is innervated by the median nerve. A decrease in
sensation at this area would support a diagnosis of carpal tunnel syndrome. The pulp of the fifth finger is
supplied by the ulnar nerve, and the dorsal web space of the thumb and index finger is supplied by the radial
nerve.
A 50-year-old woman presents with "left hip pain" of several weeks duration. There is
P 3
, • NR 509 Midterm 09/05/2026
Exam
marked tenderness when you press over her proximal lateral thigh. What do you think she has?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Sciatica
D) Trochanteric bursitis –
Correct Answer :D) Trochanteric bursitis
Bursitis is usually accompanied by tenderness on examination. This location is
consistent with trochanteric bursitis. Osteoarthritis would generally not be tender and would
more likely have decreased range of motion. Rheumatoid arthritis and sciatica would not likely be tender over
this area.
Sarah presents with left lateral knee pain and has some locking in full extension. There is
tenderness over the medial joint line. When the knee is extended with the foot externally rotated
and some valgus stress is applied, a click is noted. What is the most likely diagnosis?
A) Torn anterior cruciate ligament
B) Torn posterior cruciate ligament
C) Torn medial meniscus
D) Torn lateral meniscus - Correct Answer :C) Torn medial meniscus
This maneuver is called the McMurray test. Along with the medial joint line
tenderness, you should suspect a medial meniscus injury. Although we can't rule out a lateral meniscus tear, the
tenderness along the medial joint line makes this the more likely site of injury.
A 28-year-old book editor comes to your clinic, complaining of strange episodes. He states
P 4
Exam
NR 509 Midterm Exam 1 – (2026) Actual
Questions & Answers (Chamberlain) 100%
Guarantee Pass
Phil comes to your office with left "shoulder pain." You find that the pain is markedly worse when his left arm is
drawn across his chest (adduction). Which of the following would you suspect?
A) Rotator cuff tear
B) Subacromial bursitis
C) Acromioclavicular joint involvement
D) Adhesive capsulitis –
Correct Answer :C) Acromioclavicular joint involvement
Adduction of the patient's arm across his chest can cause pain if the
P 1
, • NR 509 Midterm 09/05/2026
Exam
acromioclavicular joint is involved. In adhesive capsulitis, this maneuver may not be possible
due to limited range of motion. Subacromial bursitis would present with tenderness inferior to
the acromion. Rotator cuff injury would ordinarily not be associated with pain during this
maneuver.
Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She presents with elbow pain
worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms
face the floor. What condition does she have?
A) Medial epicondylitis (golfer's elbow)
B) Olecranon bursitis
C) Lateral epicondylitis (tennis elbow)
D) Supracondylar fracture –
Correct Answer :C) Lateral epicondylitis (tennis elbow)
Mary's injury probably occurred by lifting heavy buckets with her palms down
(toward the bucket). This caused her chronic overuse injury at the lateral epicondyle. Medial
epicondylitis has reproducible pain when palmar flexion against resistance is performed and also
features tenderness over the involved epicondyle. Olecranon bursitis produces erythema and swelling over the
olecranon process. A supracondylar fracture of the humerus is a major injury
and would present more acutely.
A high school football player injured his wrist in a game. He is tender between the two
tendons at the base of the thumb. Which of the following should be considered?
A) DeQuervain's tenosynovitis
P 2
, • NR 509 Midterm 09/05/2026
Exam
B) Scaphoid fracture
C) Wrist sprain
D) Rheumatoid arthritis –
Correct Answer :B) Scaphoid fracture
The "anatomic snuffbox" is found between the extensor and abductor tendons at the base of the thumb.
Tenderness should make one think of a scaphoid fracture. Not only is this the most common carpal bone injury,
but the poor blood supply puts the bone at risk for
avascular necrosis when injured. This fracture is commonly missed on x-ray, so this is an important physical
finding to support further or repeated studies.
Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the
volar aspect of the web of the thumb and index finger and the pulp of the middle finger are
normal. The pulp of the index finger has decreased sensation. Which of the following is
affected?
A) Median nerve
B) Ulnar nerve
C) Radial nerve –
Correct Answer :A) Median nerve
The pulp of the index finger is innervated by the median nerve. A decrease in
sensation at this area would support a diagnosis of carpal tunnel syndrome. The pulp of the fifth finger is
supplied by the ulnar nerve, and the dorsal web space of the thumb and index finger is supplied by the radial
nerve.
A 50-year-old woman presents with "left hip pain" of several weeks duration. There is
P 3
, • NR 509 Midterm 09/05/2026
Exam
marked tenderness when you press over her proximal lateral thigh. What do you think she has?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Sciatica
D) Trochanteric bursitis –
Correct Answer :D) Trochanteric bursitis
Bursitis is usually accompanied by tenderness on examination. This location is
consistent with trochanteric bursitis. Osteoarthritis would generally not be tender and would
more likely have decreased range of motion. Rheumatoid arthritis and sciatica would not likely be tender over
this area.
Sarah presents with left lateral knee pain and has some locking in full extension. There is
tenderness over the medial joint line. When the knee is extended with the foot externally rotated
and some valgus stress is applied, a click is noted. What is the most likely diagnosis?
A) Torn anterior cruciate ligament
B) Torn posterior cruciate ligament
C) Torn medial meniscus
D) Torn lateral meniscus - Correct Answer :C) Torn medial meniscus
This maneuver is called the McMurray test. Along with the medial joint line
tenderness, you should suspect a medial meniscus injury. Although we can't rule out a lateral meniscus tear, the
tenderness along the medial joint line makes this the more likely site of injury.
A 28-year-old book editor comes to your clinic, complaining of strange episodes. He states
P 4
